Our doctors are very good at billing an e/m service along with the well care if it takes alot of additional time. My question is this - if a child comes in for the PE and complains of a sore throat - most will typically bill the e/m code of 99213 with the pe code along with the rapid and agar test. I have one physician that believes that she should reduce the e/m code to a 99212 because it was billed with the PE. I hope this makes sense - but if anyone could let me know if this reduced charge is correct or if all the documentation is there for the e/m code and supports level 3 then would it be correct.